prior auth canyon

Authorization

The simple way to manage prior authorizations

Prior authorizations are a leading cause of denied claims year after year— a problem that costs healthcare providers millions. What’s more, a lack of prior authorization solutions keeps patients from getting the care they need when they need it.

Waystar’s Authorization platform uses artificial intelligence, RPA, and API connectivity to automate and streamline the authorization process, including verification, status retrieval, notifications of admission, full-service medical necessity checks, and referrals. Healthcare organizations using our Authorization suite see a reduction in denials and more efficient use of staff time. Find the way forward.

39.7%

of denials occur during the prior authorization process*

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Waystar’s Authorization Solutions

Reduce denials + cut out manual work

Powered by intelligent automation, Waystar’s Authorization suite:

  • Automatically verifies, initiates, statuses, and retrieves comprehensive authorization details
  • Initiates authorizations, saving time on manual processes
  • Automates patient referral status to cut manual work, stop revenue leakage, and improve the patient experience
  • Offers authorization submissions for unscheduled admissions
  • Auto-generates Advance Beneficiary Notices or Notice of Non-Coverage forms for Medical Necessity
prior authorization

And, like all solutions that are part of our smart platform, Authorization also:

  • Integrates directly with all major HIS and PM systems
  • Adapts to constantly shifting payer rules and requirements
  • Is maintained by the in-house team of experts who built it
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Prior auth by the numbers

32M
auth transactions conducted per year
6.8M+
rules
30+
service lines covered
50%
reduction in authorization process time
68%
cost savings opportunity per manual auth transaction

Source: Waystar data, 2024

How Authorization works

4 squares reading as follows: Auth Verification: Reviews EHR orders in real time using AI to verify if an authorization is required. Auth initiation + submission: Accelerates the initiation and submission of required data and sends documentation directly to payers. Auth status + retrieval: Checks status until determination is complete and delivers details back into HIS or PM system. Auth intervention: Flags claims likely to be denied or needing intervention so your team can become specialized in your denials. Another box below these 4 reads: 39.7% of denials are caused by prior authorization

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WHAT MAKES WAYSTAR DIFFERENT

A prior authorization solution for faster approvals + lower costs

Waystar’s breakthrough prior authorization software integrates with all major EMRs and payer systems, constantly working behind the scenes to reduce approval turnaround time and increase accuracy with every exchange. Millions of rules are created with data from the millions of authorization transactions we conduct each year. Leveraging API and RPA connectivity, authorizations are automatically routed to payers based on patient type and managing entity.

Find the way forward — for you and your patients.

Products IN AUTHORIZATION SUITE

Authorization (Auth Initiate + Auth Status)   |   Medical Necessity   |   Admission Notification + Submission   |   Referral Status

PRIOR AUTH RESOURCES

Get greater insights into prior authorization


Prior authorization 101

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See the latest blogs on prior authorization

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5 most unproductive touches in healthcare RCM

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Atlantic Health reduces auth submission time by 50%+

Read case study


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Connect with an Authorization expert

Looking for more information on how Waystar’s Authorization suite of solutions can speed approvals and cut costs? Fill out the form below, and we’ll be in touch shortly.